form indian income tax return assessment year itr-3 …
TRANSCRIPT
Page 1
PE
RS
ON
AL
IN
FO
RM
AT
ION
First name Middle name Last name PAN
Flat/Door/Block No Name Of Premises/Building/Village Status (Tick)
Individual HUF
Road/Street/Post Office Date of Birth/Formation (DD/MM/YYYY)
Area/locality Aadhaar Number (12 digit)/ Aadhaar Enrolment Id (28 digit) (if eligible for Aadhaar)
Town/City/District State Pin code Sex (in case of individual) (Tick)
Country Male Female
Residential/Office Phone Number with STD code /
Mobile No. 1
Mobile No. 2 Employer Category (if in
employment) (Tick)
Govt. PSU Others
Email Address-1 (self) Income Tax Ward/Circle
Email Address-2
FIL
ING
ST
AT
US
(a)
Return filed (Tick)[Please see instruction number-7] On or Before due date -139(1) After due date -139(4) Revised
Return- 139(5), Modified return- 92CD under section 119(2)(b), or In response to notice 139(9)-Defective 142(1)
148 153A/153C
(b) If revised/Defective/Modified, then enter Receipt No.
and Date of filing original return (DD/MM/YYYY)
/ /
(c) If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C enter date of such notice, or u/s 92CD
enter date of advance pricing agreement / /
(d) Residential Status (Tick) Resident Non-Resident Resident but Not Ordinarily Resident
(e) Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of the Act? Yes No
(f) Are you governed by Portuguese Civil Code as per section 5A? Tick) Yes No (If “YES” please fill Schedule 5A)
(g) Whether this return is being filed by a representative assessee? (Tick) Yes No If yes, furnish following information -
(1) Name of the representative
(2) Address of the representative
(3) Permanent Account Number (PAN) of the representative
(h) In case of non-resident, is there a permanent establishment (PE) in India? (Tick) Yes No
FO
RM
ITR-3
INDIAN INCOME TAX RETURN (For individuals and HUFs having income from a proprietary business or profession)
(Please see rule 12 of the Income-tax Rules,1962)
(Also see attached instructions)
Assessment Year
2 0 1 7 - 1 8
Part A-GEN GENERAL
AU
DIT
IN
FO
RM
AT
ION
(a) Are you liable to maintain accounts as per section 44AA? (Tick) Yes No
(b) Are you liable for audit under section 44AB? (Tick) Yes No
(c) If (b) is Yes, whether the accounts have been audited by an accountant? (Tick) Yes No
If Yes, furnish the following information below
(1) Date of furnishing of the audit report (DD/MM/YYYY) / /
(2) Name of the auditor signing the tax audit report
(3) Membership no. of the auditor
(4) Name of the auditor (proprietorship/ firm)
(5) Proprietorship/firm registration number
(6) Permanent Account Number (PAN) of the proprietorship/ firm
For Office Use Only
For Office Use Only
Receipt No.
Date
Seal and Signature of receiving official
Page 2
NATURE OF
BUSINESS
NATURE OF BUSINESS OR PROFESSION, IF MORE THAN ONE BUSINESS OR PROFESSION
INDICATE THE THREE MAIN ACTIVITIES/ PRODUCTS
S.No. Code
[Please see instruction No.7(i)] Trade name of the
proprietorship, if any Description
(i)
(ii)
(iii)
Part A-BS BALANCE SHEET AS ON 31
ST DAY OF MARCH, 2017 OF THE PROPRIETORY BUSINESS OR
PROFESSION (fill items below in a case where regular books of accounts are maintained, otherwise fill item 6)
SO
UR
CE
S O
F F
UN
DS
1 Proprietor’s fund
a Proprietor’s capital a
b Reserves and Surplus
i Revaluation Reserve bi
ii Capital Reserve bii
iii Statutory Reserve biii
iv Any other Reserve biv
v Total (bi + bii + biii + biv) bv
c Total proprietor’s fund (a + bv) 1c
2 Loan funds
a Secured loans
i Foreign Currency Loans ai
ii Rupee Loans
A From Banks iiA
B From others iiB
C Total ( iiA + iiB) iiC
iii Total (ai + iiC) aiii
b Unsecured loans (including deposits)
i From Banks bi
ii From others bii
iii Total (bi + bii) biii
c Total Loan Funds (aiii + biii) 2c
3 Deferred tax liability 3
4 Sources of funds (1c + 2c +3) 4
AP
PL
ICA
TIO
N O
F F
UN
DS
1 Fixed assets
a Gross: Block 1a
b Depreciation 1b
c Net Block (a – b) 1c
d Capital work-in-progress 1d
e Total (1c + 1d) 1e
2 Investments
a Long-term investments
i Government and other Securities - Quoted ai
ii Government and other Securities – Unquoted aii
iii Total (ai + aii) aiii
b Short-term investments
(7) Date of report of the audit
(d) If liable to furnish other audit report, mention the date of furnishing the audit report? (DD/MM/YY) (Please see Instruction 6))
92E 115JC
Page 3
i Equity Shares, including share application money bi
ii Preference Shares bii
iii Debentures biii
iv Total (bi + bii + biii) biv
c Total investments (aiii + biv) 2c
3 Current assets, loans and advances
a Current assets
i Inventories
A Stores/consumables including packing
material iA
B Raw materials iB
C Stock-in-process iC
D Finished Goods/Traded Goods iD
E Total (iA + iB + iC + iD) iE
ii Sundry Debtors aii
iii Cash and Bank Balances
A Cash-in-hand iiiA
B Balance with banks iiiB
C Total (iiiA + iiiB) iiiC
iv Other Current Assets aiv
v Total current assets (iE + aii + iiiC + aiv) av
b Loans and advances
i Advances recoverable in cash or in kind or for
value to be received bi
ii Deposits, loans and advances to corporates and
others bii
iii Balance with Revenue Authorities biii
iv Total (bi + bii + biii ) biv
c Total of current assets, loans and advances (av + biv) 3c
d Current liabilities and provisions
i Current liabilities
A Sundry Creditors iA
B Liability for Leased Assets iB
C Interest Accrued on above iC
D Interest accrued but not due on loans iD
E Total (iA + iB + iC + iD) iE
ii Provisions
A Provision for Income Tax iiA
B Provision for Leave
encashment/Superannuation/Gratuity iiB
C Other Provisions ii C
D Total (iiA + iiB + iiC) iiD
iii Total (iE + ii D) diii
e Net current assets (3c – diii) 3e
4 a Miscellaneous expenditure not written off or adjusted 4a
b Deferred tax asset 4b
c Profit and loss account/ Accumulated balance 4c
d Total (4a + 4b + 4c) 4d
5 Total, application of funds (1e + 2c + 3e +4d) 5
NO
AC
CO
UN
T
CA
SE
6 In a case where regular books of account of business or profession are not maintained -
(furnish the following information as on 31st day of March,2017, in respect of business or profession)
a Amount of total sundry debtors 6a
b Amount of total sundry creditors 6b
c Amount of total stock-in-trade 6c
Page 4
d Amount of the cash balance 6d
Part A-P& L Profit and Loss Account for the financial year 2016-17(fill items 1 to 52 in a case where regular books of accounts are
maintained, otherwise fill item 53)
CR
ED
ITS
T
O P
RO
FIT
A
ND
L
OS
S
AC
CO
UN
T
1 Revenue from operations
A Sales/ Gross receipts of business (net of returns and refunds and duty or tax, if any)
i Sale of goods i
ii Sale of services ii
iii Other operating revenues (specify nature and
amount)
a iiia
b iiib
c Total (iiia + iiib) iiic
iv Total (i + ii + iiic) Aiv
B Gross receipts from Profession B
C Duties, taxes and cess received or receivable in respect of goods and services sold or
supplied
i Union Excise duties i
ii Service tax ii
iii VAT/ Sales tax iii
iv Any other duty, tax and cess iv
v Total (i + ii + iii + iv) Cv
D Total Revenue from operations (Aiv + B + Cv) 1D
2 Other income
i Rent i
ii Commission ii
iii Dividend income iii
iv Interest income iv
v Profit on sale of fixed assets v
vi Profit on sale of investment being securities chargeable
to Securities Transaction Tax (STT) vi
vii Profit on sale of other investment vii
viii Profit on account of currency fluctuation viii
ix Agricultural income ix
x Any other income (specify nature and amount)
a xa
b xb
c Total (xa + xb) xc
xi Total of other income (i + ii + iii + iv + v + vi + vii + viii + ix + xc) 2xi
3 Closing Stock
i Raw material 3i
ii Work-in-progress 3ii
iii Finished goods 3iii
Total (3i + 3ii + 3iii) 3iv
4 Total of credits to profit and loss account (1C + 2xi + 3iv) 4
DE
BIT
S T
O P
RO
FIT
A
ND
L
OS
S
AC
CO
UN
T
5 Opening Stock
i Raw material 5i
ii Work-in-progress 5ii
iii Finished goods 5iii
iv Total (5i + 5ii + 5iii) 5iv
6 Purchases (net of refunds and duty or tax, if any) 6
7 Duties and taxes, paid or payable, in respect of goods and services purchased
i Custom duty 7i
ii Counter veiling duty 7ii
Page 5
iii Special additional duty 7iii
iv Union excise duty 7iv
v Service tax 7v
vi VAT/ Sales tax 7vi
vii Any other tax, paid or payable 7vii
viii Total (7i + 7ii + 7iii + 7iv + 7v + 7vi + 7vii) 7viii
8 Freight 8
9 Consumption of stores and spare parts 9
10 Power and fuel 10
11 Rents 11
12 Repairs to building 12
13 Repairs to machinery 13
14 Compensation to employees
i Salaries and wages 14i
ii Bonus 14ii
iii Reimbursement of medical expenses 14iii
iv Leave encashment 14iv
v Leave travel benefits 14v
vi Contribution to approved superannuation fund 14vi
vii Contribution to recognised provident fund 14vii
viii Contribution to recognised gratuity fund 14viii
ix Contribution to any other fund 14ix
x Any other benefit to employees in respect of which an
expenditure has been incurred 14x
xi Total compensation to employees (14i + 14ii + 14iii + 14iv + 14v + 14vi + 14vii + 14viii +
14ix + 14x)
14xi
xii Whether any compensation, included in 14xi, paid to
non-residents xiia Yes / No
If Yes, amount paid to non-residents xiib
15 Insurance
i Medical Insurance 15i
ii Life Insurance 15ii
iii Keyman’s Insurance 15iii
iv Other Insurance including factory, office, car, goods,
etc. 15iv
v Total expenditure on insurance (15i + 15ii + 15iii + 15iv) 15v
16 Workmen and staff welfare expenses 16
17 Entertainment 17
18 Hospitality 18
19 Conference 19
20 Sales promotion including publicity (other than advertisement) 20
21 Advertisement 21
22 Commission
i Paid outside India, or paid in India to a non-resident
other than a company or a foreign company i
ii To others ii
iii Total (i + ii) 22iii
23 Royalty
i Paid outside India, or paid in India to a non-resident
other than a company or a foreign company i
ii To others ii
iii Total (i + ii) 23iii
24 Professional / Consultancy fees / Fee for technical services
i Paid outside India, or paid in India to a non-resident
other than a company or a foreign company i
ii To others ii
Page 6
iii Total (i + ii) 24iii
25 Hotel, boarding and Lodging 25
26 Traveling expenses other than on foreign traveling 26
27 Foreign travelling expenses 27
28 Conveyance expenses 28
29 Telephone expenses 29
30 Guest House expenses 30
31 Club expenses 31
32 Festival celebration expenses 32
33 Scholarship 33
34 Gift 34
35 Donation 35
36 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income)
i Union excise duty 36i
ii Service tax 36ii
iii VAT/ Sales tax 36iii
iv Cess 36iv
v Any other rate, tax, duty or cess incl STT and CTT 36v
vi Total rates and taxes paid or payable (36i + 36ii + 36iii + 36iv + 36v) 36vi
37 Audit fee 37
38 Other expenses (specify nature and amount)
i i
ii ii
iii Total (i + ii) 38iii
39 Bad debts (specify PAN of the person, if available, for whom Bad Debt for amount of Rs. 1 lakh or more is
claimed and amount)
i 39i
ii 39ii
iii 39iii
iv Others (more than Rs. 1 lakh) where
PAN is not available 39iv
v Others (amounts less than Rs. 1 lakh) 39v
vi Total Bad Debt (39i + 39ii + 39iii + 39iv + 39v) 39vi
40 Provision for bad and doubtful debts 40
41 Other provisions 41
42 Profit before interest, depreciation and taxes [4 – (5iv + 6 + 7viii + 8 to 13 + 14xi + 15v + 16 to 21
+ 22iii + 23iii + 24iii + 25 to 35 + 36vi + 37 + 38iii + 39vi + 40 + 41)] 42
43 Interest
i Paid outside India, or paid in India to a non-resident
other than a company or a foreign company i
ii To others ii
iii Total (i + ii) 43iii
44 Depreciation and amoritisation 44
45 Profit before taxes (42 – 43iii – 44) 45
PR
OV
ISIO
NS
FO
R T
AX
AN
D A
PP
RO
PR
IAT
ION
S 46 Provision for current tax 46
47 Provision for Deferred Tax and deferred liability 47
48 Profit after tax (45 - 46 - 47) 48
49 Balance brought forward from previous year 49
50 Amount available for appropriation (48 + 49) 50
51 Transferred to reserves and surplus 51
52 Balance carried to balance sheet in proprietor’s account (50 –51) 52
NO
AC
CO
UN
T
CA
SE
53 In a case where regular books of account of business or profession are not maintained, furnish
the following information for previous year 2016-17 in respect of business or profession
(i) For assessee carrying on Business
a Gross receipts 53(i)a
Page 7
b Gross profit 53(i)b
c Expenses 53(i)c
d Net profit 53(i)d
(ii) For assessee carrying on Profession
a Gross receipts 53 (ii)a
b Gross profit 53 (ii)b
c Expenses 53 (ii)c
d Net profit 53 (ii)d
Total (53(i)d + 53(ii)d) 53
Part A- OI Other Information (optional in a case not liable for audit under section 44AB)
OT
HE
R I
NF
OR
MA
TIO
N
1 Method of accounting employed in the previous year (Tick) mercantile cash
2 Is there any change in method of accounting (Tick) Yes No
3 Effect on the profit because of deviation, if any, as per Income Computation Disclosure
Standards notified under section 145(2) [column 11(iii) of Schedule ICDS] 3
4 Method of valuation of closing stock employed in the previous year
a Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3)
b Finished goods (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3)
c Is there any change in stock valuation method (Tick) Yes No
d Effect on the profit or loss because of deviation, if any, from the method of valuation
prescribed under section 145A 4d
5 Amounts not credited to the profit and loss account, being -
a the items falling within the scope of section 28 5a
b the proforma credits, drawbacks, refund of duty of customs
or excise or service tax, or refund of sales tax or value
added tax, where such credits, drawbacks or refunds are
admitted as due by the authorities concerned
5b
c escalation claims accepted during the previous year 5c
d any other item of income 5d
e capital receipt, if any 5e
f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e) 5f
6 Amounts debited to the profit and loss account, to the extent disallowable under section 36 due
to non-fulfilment of conditions specified in relevant clauses
a
Premium paid for insurance against risk of damage or
destruction of stocks or store [36(1)(i)] 6a
b Premium paid for insurance on the health of employees
[36(1)(ib)] 6b
c
Any sum paid to an employee as bonus or commission for
services rendered, where such sum was otherwise payable
to him as profits or dividend [36(1)(ii)]
6c
d Any amount of interest paid in respect of borrowed
capital [36(1)(iii)] 6d
e Amount of discount on a zero-coupon bond [36(1)(iiia)] 6e
f Amount of contributions to a recognised provident fund
[36(1)(iv)] 6f
g Amount of contributions to an approved superannuation
fund [36(1)(iv)] 6g
h Amount of contribution to a pension scheme referred to in
section 80CCD [36(1)(iva)] 6h
i Amount of contributions to an approved gratuity fund
[36(1)(v)] 6i
j Amount of contributions to any other fund 6j
k
Any sum received from employees as contribution to any
provident fund or superannuation fund or any fund set up
under ESI Act or any other fund for the welfare of
employees to the extent not credited to the employees
account on or before the due date [36(1)(va)]
6k
l Amount of bad and doubtful debts [36(1)(vii)] 6l
m Provision for bad and doubtful debts [36(1)(viia)] 6m
n Amount transferred to any special reserve [36(1)(viii)] 6n
o Expenditure for the purposes of promoting family
planning amongst employees [36(1)(ix)] 6o
Page 8
p
Amount of securities transaction paid in respect of
transaction in securities if such income is not included in
business income [36(1)(xv)]
6p
q Any other disallowance 6q
r Total amount disallowable under section 36 (total of 6a to 6q) 6r
7 Amounts debited to the profit and loss account, to the extent disallowable under section 37
a Expenditure of capital nature [37(1)] 7a
b Expenditure of personal nature [37(1)] 7b
c Expenditure laid out or expended wholly and exclusively
NOT for the purpose of business or profession [37(1)] 7c
d
Expenditure on advertisement in any souvenir, brochure,
tract, pamphlet or the like, published by a political party
[37(2B)]
7d
e Expenditure by way of penalty or fine for violation of any law
for the time being in force 7e
f Any other penalty or fine 7f
g Expenditure incurred for any purpose which is an offence or
which is prohibited by law 7g
h Amount of any liability of a contingent nature 7h
i Any other amount not allowable under section 37 7i
j Total amount disallowable under section 37 (total of 7a to 7i) 7j
8 A Amounts debited to the profit and loss account, to the extent disallowable under section 40
a Amount disallowable under section 40 (a)(i), on account of
non-compliance with the provisions of Chapter XVII-B Aa
b Amount disallowable under section 40(a)(ia) on account of
non-compliance with the provisions of Chapter XVII-B Ab
c
Amount disallowable under section 40(a)(ib), on account
of non-compliance with the provisions of Chapter VIII of
the Finance Act, 2016
Ac
d Amount disallowable under section 40(a)(iii) on account of
non-compliance with the provisions of Chapter XVII-B Ad
e Amount of tax or rate levied or assessed on the basis of
profits [40(a)(ii)] Ae
f Amount paid as wealth tax [40(a)(iia)] Af
g Amount paid by way of royalty, license fee, service fee etc.
as per section 40(a)(iib) Ag
h Amount of interest, salary, bonus, commission or
remuneration paid to any partner or member [40(b)] Ah
i Any other disallowance Ai
j Total amount disallowable under section 40(total of Aa to Ai) 8Aj
B Any amount disallowed under section 40 in any preceding previous year but allowable
during the previous year 8B
9 Amounts debited to the profit and loss account, to the extent disallowable under section 40A
a Amounts paid to persons specified in section 40A(2)(b) 9a
b
Amount paid in excess of twenty thousand rupees otherwise
than by account payee cheque or account payee bank draft
under section 40A(3) – 100% disallowable
9b
c Provision for payment of gratuity [40A(7)] 9c
d
any sum paid by the assessee as an employer for setting up or
as contribution to any fund, trust, company, AOP, or BOI or
society or any other institution [40A(9)]
9d
e Any other disallowance 9e
f Total amount disallowable under section 40A 9f
10 Any amount disallowed under section 43B in any preceding previous year but allowable during
the previous year
a Any sum in the nature of tax, duty, cess or fee under any law 10a
b
Any sum payable by way of contribution to any provident fund
or superannuation fund or gratuity fund or any other fund for
the welfare of employees
10b
c Any sum payable to an employee as bonus or commission for
services rendered 10c
d
Any sum payable as interest on any loan or borrowing from
any public financial institution or a State financial corporation
or a State Industrial investment corporation
10d
e Any sum payable as interest on any loan or borrowing from
any scheduled bank 10e
f Any sum payable towards leave encashment 10f
Page 9
g Total amount allowable under section 43B (total of 10a to 10f) 10g
11 Any amount debited to profit and loss account of the previous year but disallowable under
section 43B
a Any sum in the nature of tax, duty, cess or fee under any law 11a
b
Any sum payable by way of contribution to any provident fund
or superannuation fund or gratuity fund or any other fund for
the welfare of employees
11b
c Any sum payable to an employee as bonus or commission for
services rendered 11c
d
Any sum payable as interest on any loan or borrowing from
any public financial institution or a State financial corporation
or a State Industrial investment corporation
11d
e Any sum payable as interest on any loan or borrowing from
any scheduled bank 11e
f Any sum payable towards leave encashment 11f
g Any sum payable to the Indian Railways for the use of railway
assets 11g
h Total amount disallowable under Section 43B (total of 11a to 11g) 11h
12 Amount of credit outstanding in the accounts in respect of
a Union Excise Duty 12a
b Service tax 12b
c VAT/sales tax 12c
d Any other tax 12d
e Total amount outstanding (total of 12a to 12d) 12e
13 Amounts deemed to be profits and gains under section 33AB or 33ABA 13
14 Any amount of profit chargeable to tax under section 41 14
15 Amount of income or expenditure of prior period credited or debited to the profit and loss
account (net) 15
Part A – QD Quantitative details (optional in a case not liable for audit under section 44AB)
QU
AN
TIT
AT
IVE
D
ET
AIL
S
(a) In the case of a trading concern
1 Opening stock 1
2 Purchase during the previous year 2
3 Sales during the previous year 3
4 Closing stock 4
5 Shortage/ excess, if any 5
(b) In the case of a manufacturing concern
6 Raw materials
a Opening stock 6a
b Purchases during the previous year 6b
c Consumption during the previous year 6c
d Sales during the previous year 6d
e Closing stock 6e
f Yield finished products 6f
g Percentage of yield 6g
h Shortage/ excess, if any 6h
7 Finished products/ By-products
a opening stock 7a
b purchase during the previous year 7b
c quantity manufactured during the previous year 7c
d sales during the previous year 7d
e closing stock 7e
f shortage/ excess, if any 7f
Part B – TI Computation of total income
TO
TA
L
INC
OM
E
1 Salaries (6of Schedule S) 1
2 Income from house property (3b of Schedule-HP) (enter nil if loss) 2
3 Profits and gains from business or profession
Page 10
i
Profit and gains from business other than speculative
business and specified business (A37 of Schedule-BP) (enter
nil if loss)
3i
ii
Profit and gains from speculative business (B41 of Schedule
BP) (enter nil if loss and take the figure to schedule CFL) 3ii
iii
Profit and gains from specified business (C47 of Schedule
BP) (enter nil if loss and take the figure to schedule CFL) 3iii
iv Income from patent u/s 115BBF (3e of Schedule BP) 3iv
v Total (3i + 3ii + 3iii + 3iv) (enter nil if 3v is a loss) 3v
4 Capital gains
a Short term
i Short-term chargeable @ 15% (7ii of item E of schedule CG) ai
ii Short-term chargeable @ 30% (7iii of item E of schedule CG) aii
iii Short-term chargeable at applicable rate (7iv of item E of schedule CG)
aiii
iv Total Short-term (ai + aii + aiii) 4aiv
b Long-term
i Long-term chargeable @ 10% (7v of item E of schedule CG) bi
ii Long-term chargeable @ 20% (7vi of item E of schedule CG) bii
iii Total Long-term (bi + bii) (enter nil if loss) 4biii
c Total capital gains (4aiv + 4biii) (enter nil if loss) 4c
5 Income from other sources
a from sources other than from owning race horses and income
chargeable to tax at special rate (1i of Schedule OS) (enter nil if
loss)
5a
b Income chargeable to tax at special rate (1fvii of Schedule OS) 5b
c from the activity of owning and maintaining race horses (3c
of Schedule OS) (enter nil if loss) 5c
d Total (5a + 5b + 5c) (enter nil if loss) 5d
6 Total (1 + 2 + 3v +4c +5d) 6
7 Losses of current year to be set off against 6 (total of 2xiv,3xiv and 4xiv of Schedule CYLA) 7
8 Balance after set off current year losses (6 – 7) (total of column 5 of Schedule CYLA+5b) 8
9 Brought forward losses to be set off against 8 (total of 2xiii, 3xiii and 4xiii of Schedule BFLA) 9
10 Gross Total income (8-9) (5xiv of Schedule BFLA+ 5b) 10
11 Income chargeable to tax at special rate under section 111A, 112 etc. included in 10 11
12 Deduction u/s 10A or 10AA (c of Sch. 10A + c of Sch. 10AA) 12
13 Deductions under Chapter VI-A
a Part-B, CA and D of Chapter VI-A [(1 + 3) of Schedule VI-A and limited upto (10-11)] 13a
b Part-C of Chapter VI-A [(2 of Schedule VI-A and limited upto (10-11-3iii)] 13b
c Total (13a + 13b) [limited upto (10-11)] 13c
14 Total income (10 - 12-13c) 14
15 Income which is included in 14 and chargeable to tax at special rates (total of (i) of schedule SI) 15
16 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 16
17 Aggregate income (14-15+16) [applicable if (14-15) exceeds maximum amount not chargeable to tax] 17
18 Losses of current year to be carried forward (total of row xi of Schedule CFL) 18
Part B – TTI Computation of tax liability on total income
CO
MP
UT
AT
ION
OF
TA
X
LIA
BIL
ITY
1 a Tax payable on deemed total income under section 115JC (4 of Schedule AMT) 1a
b Surcharge on (a) (applicable if 3 of schedule AMT exceeds 1 crore) 1b
c Education Cess, including secondary and higher education cess on (1a+1b) above 1c
d Total Tax Payable on deemed total income (1a+1b+1c) 1d
2 Tax payable on total income
a Tax at normal rates on 17 of Part B-TI 2a
b Tax at special rates (total of (ii) of Schedule-SI) 2b
c Rebate on agricultural income [applicable if (14-15) of Part B-TI exceeds maximum amount not chargeable to tax]
2c
d Tax Payable on Total Income (2a + 2b – 2c) 2d
e Rebate under section 87A (applicable if 14 of Part B-TI does not exceed 5 lakh) 2e
Page 11
f Tax payable after rebate (2d – 2e) 2f
g Surcharge
i 25% of 13(ii) of Schedule SI
2gi
2g(ii)
ii On [(2f) – (13(ii) of Schedule SI)] (applicable if 14 of Part B-TI exceeds 1 crore) 2gii
iii Total (i + ii) 2giii
h Education cess, including secondary and higher education cess on (2f + 2giii) 2h
i Gross tax liability (2f + 2giii + 2h) 2i
3 Gross tax payable (higher of 1d and 2i) 3
4 Credit under section 115JD of tax paid in earlier years (applicable if 2i is more than 1d) (5 of
Schedule AMTC) 4
5 Tax payable after credit under section 115JD (3 - 4) 5
6 Tax relief
a Section 89 6a
b Section 90/ 90A ( 2 of Schedule TR) 6b
c Section 91 ( 3 of Schedule TR) 6c
d Total (6a + 6b+ 6c) 6d
7 Net tax liability (5 - 6d) (enter zero if negative) 7
8 Interest payable
a For default in furnishing the return (section 234A)
8a
b For default in payment of advance tax (section 234B) 8b
c For deferment of advance tax (section 234C) 8c
d Total Interest Payable (8a+8b+8c) 8d
9 Aggregate liability (7 + 8d) 9
TA
XE
S P
AID
10 Taxes Paid
a Advance Tax (from column 5 of 18A) 10a
b TDS (total of column 5 of 18B and column 8 of 18C) 10b
c TCS (column 7 of 18D) 10c
d Self-Assessment Tax (from column 5 of 18A) 10d
e Total Taxes Paid (10a+10b+10c+10d) 10e
11 Amount payable (Enter if 9 is greater than 10e, else enter 0) 11
12 Refund (If 10e is greater than 9) (Refund, if any, will be directly credited into the bank account) 12
BA
NK
AC
CO
UN
T 13 Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
Sl. IFS Code of
the Bank
Name of the Bank Account Number (the number should be 9 digits or
more as per CBS system of the
bank )
Indicate the account in
which you prefer to get your
refund credited, if any (tick
one account )
Cash deposited during
09.11.2016 to 30.12.2016
(if aggregate cash deposits during
the period ≥ Rs.2 lakh)
i
ii
14 Do you at any time during the previous year,-
(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity)
located outside India; or
(ii) have signing authority in any account located outside India; or
(iii) have income from any source outside India?
[applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]
Yes No
VERIFICATION
I, son/ daughter of , holding permanent
account number ____________ solemnly declare that to the best of my knowledge and belief, the information given in the return and
schedules thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in
accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relevant to
the Assessment Year 2017-18.
I further declare that the critical assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement
have been complied with. (Applicable, in a case where return is furnished under section 92CD)
Place
Date Sign here
16 If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof…………… 17
Page 12
18 TAX PAYMENTS
A Details of payments of Advance Tax and Self-Assessment Tax
AD
VA
NC
E/
SE
LF
AS
SE
SS
ME
NT
TA
X
Sl. No. BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs)
(1) (2) (3) (4) (5)
i
ii
iii
iv
NOTE ► Enter the totals of Advance tax and Self-Assessment tax in Sl No. 10a & 10d of Part B-TTI
B Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
TD
S O
N S
AL
AR
Y
Sl. No. Tax Deduction Account
Number (TAN) of the
Employer
Name of the Employer Income chargeable under
Salaries
Total tax deducted
(1) (2) (3) (4) (5)
i
ii
NOTE ► Please enter total of column 5 of Schedule-TDS1 and column 8 of Schedule-TDS2 in 10b of Part B-TTI
C Details of Tax Deducted at Source (TDS) on Income [As per Form 16 A issued by Deductor(s) or Form 26QB]
TD
S O
N O
TH
ER
IN
CO
ME
Sl. No. TAN of the
Deductor/ PAN of
the Buyer
Name of the
Deductor
Unique TDS
Certificate
Number
Unclaimed TDS
brought forward (b/f)
TDS of the
current fin.
year
Amount out of (6) or (7) being
claimed this Year (only if
corresponding income is being
offered for tax this year)
Amount out of
(6) or (7) being
carried forward
Fin. Year
in which
deducted
Amount b/f
in own hands
in the hands of
spouse, if section
5A is applicable
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
i
ii
NOTE ► Please enter total of column 5 of Schedule-TDS1 and column 8 of Schedule-TDS2 in 10b of Part B-TTI
D Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
TD
S O
N O
TH
ER
INC
OM
E
Sl.
No.
Tax Deduction and
Tax Collection
Account Number of
the Collector
Name of the
Collector
Unclaimed TCS brought forward (b/f) TCS of the
current fin. year
Amount out of (5) or (6)
being claimed this Year
(only if corresponding
income is being offered for
tax this year)
Amount out of (5)
or (6) being
carried forward
Fin. Year in which
collected
Amount b/f
(1) (2) (3) (4) (5) (6) (7) (8)
i
ii
NOTE ► Please enter total of column (7) of Schedule-TDS in 10c of Part B-TTI
NOTE: PLEASE FILL SCHEDULES TO THE RETURN FORM (PAGES S1-S20) AS APPLICABLE